MedPAC releases March 2018 report on Medicare payment policy

Today, the Medicare Payment Advisory Commission (MedPAC) releases its March 2018 Report to the Congress: Medicare Payment Policy. The report includes MedPAC’s analyses of payment adequacy in fee-for-service (FFS) Medicare and reviews the status of Medicare Advantage (MA) and the prescription drug benefit, Part D. MedPAC also recommends changing the way Medicare pays for clinician services in FFS by moving beyond the Merit-based Incentive Payment System (MIPS), recommends changes to MA and Part D to improve the equity and efficiency of those programs, and responds to a Congressional mandate on telehealth in Medicare. In the Bipartisan Budget Act of 2018, Congress enacted several policies that are similar to recommendations contained in this report. You may go to our website at to view the report, or follow the links below.

News release

Fact sheet 

March 2018 Report to the Congress: Medicare Payment Policy


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Chapter 1: Context for Medicare payment policy and online-only appendixes

Chapter 2: Assessing payment adequacy and updating payments in fee-for-service Medicare

Chapter 3: Hospital inpatient and outpatient services

Chapter 4: Physician and other health professional services 

Chapter 5: Ambulatory surgical center services 

Chapter 6: Outpatient dialysis services

Chapter 7: Post-acute care: Increasing the equity of Medicare’s payments within each setting

Chapter 8: Skilled nursing facility services

Chapter 9: Home health care services

Chapter 10: Inpatient rehabilitation facility services

Chapter 11: Long-term care hospital services

Chapter 12: Hospice services 

Chapter 13: The Medicare Advantage program: Status report

Chapter 14: The Medicare prescription drug program (Part D): Status report and online-only appendixes 

Chapter 15: Moving beyond the Merit-based Incentive Payment System 

Chapter 16: Mandated report: Telehealth services and the Medicare program and online-only appendixes

Appendix A: Commissioners’ voting on recommendations


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